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Summary of Significant Accounting Policies - Net Operating Revenues & Accounts Receivable (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Concentration Risk [Line Items]      
Net operating revenues $ 5,121.6 $ 4,644.4 $ 4,605.0
Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 4,015.0 3,566.2 3,513.0
Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 1,106.6 1,078.2 1,092.0
Payor Source | Revenue from Contract with Customer Benchmark      
Concentration Risk [Line Items]      
Net operating revenues 5,121.6 4,644.4 4,605.0
Payor Source | Revenue from Contract with Customer Benchmark | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 4,015.0 3,566.2 3,513.0
Payor Source | Revenue from Contract with Customer Benchmark | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 1,106.6 1,078.2 1,092.0
Payor Source | Revenue from Contract with Customer Benchmark | Medicare | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues 3,496.2 3,271.5 3,457.3
Payor Source | Revenue from Contract with Customer Benchmark | Medicare | Third-Party Payor | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 2,589.7 2,375.5 2,537.3
Payor Source | Revenue from Contract with Customer Benchmark | Medicare | Third-Party Payor | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 906.5 896.0 920.0
Payor Source | Revenue from Contract with Customer Benchmark | Medicare Advantage | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues 727.0 661.1 487.4
Payor Source | Revenue from Contract with Customer Benchmark | Medicare Advantage | Third-Party Payor | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 609.6 544.9 375.5
Payor Source | Revenue from Contract with Customer Benchmark | Medicare Advantage | Third-Party Payor | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 117.4 116.2 111.9
Payor Source | Revenue from Contract with Customer Benchmark | Managed Care | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues 549.9 419.2 381.8
Payor Source | Revenue from Contract with Customer Benchmark | Managed Care | Third-Party Payor | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 484.5 371.4 342.7
Payor Source | Revenue from Contract with Customer Benchmark | Managed Care | Third-Party Payor | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 65.4 47.8 39.1
Payor Source | Revenue from Contract with Customer Benchmark | Medicaid | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues 178.6 155.7 128.7
Payor Source | Revenue from Contract with Customer Benchmark | Medicaid | Third-Party Payor | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 163.1 140.1 110.3
Payor Source | Revenue from Contract with Customer Benchmark | Medicaid | Third-Party Payor | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 15.5 15.6 18.4
Payor Source | Revenue from Contract with Customer Benchmark | Other third-party payors | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues 46.0 43.0 43.4
Payor Source | Revenue from Contract with Customer Benchmark | Other third-party payors | Third-Party Payor | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 46.0 43.0 43.4
Payor Source | Revenue from Contract with Customer Benchmark | Other third-party payors | Third-Party Payor | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 0.0 0.0 0.0
Payor Source | Revenue from Contract with Customer Benchmark | Workers’ compensation | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues 23.4 22.5 30.2
Payor Source | Revenue from Contract with Customer Benchmark | Workers’ compensation | Third-Party Payor | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 23.1 21.5 29.2
Payor Source | Revenue from Contract with Customer Benchmark | Workers’ compensation | Third-Party Payor | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 0.3 1.0 1.0
Payor Source | Revenue from Contract with Customer Benchmark | Patients | Self-Pay      
Concentration Risk [Line Items]      
Net operating revenues 20.1 20.1 23.9
Payor Source | Revenue from Contract with Customer Benchmark | Patients | Self-Pay | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 19.3 19.2 23.3
Payor Source | Revenue from Contract with Customer Benchmark | Patients | Self-Pay | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues 0.8 0.9 0.6
Payor Source | Revenue from Contract with Customer Benchmark | Other income      
Concentration Risk [Line Items]      
Net operating revenues 80.4 51.3 52.3
Payor Source | Revenue from Contract with Customer Benchmark | Other income | Inpatient Rehabilitation      
Concentration Risk [Line Items]      
Net operating revenues 79.7 50.6 51.3
Payor Source | Revenue from Contract with Customer Benchmark | Other income | Home Health and Hospice      
Concentration Risk [Line Items]      
Net operating revenues $ 0.7 $ 0.7 $ 1.0
Payor Source | Accounts Receivable      
Concentration Risk [Line Items]      
Net operating revenues by payor source (percent) 100.00% 100.00%  
Payor Source | Accounts Receivable | Medicare | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues by payor source (percent) 63.60% 66.50%  
Payor Source | Accounts Receivable | Managed care and other discount plans, including Medicare Advantage | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues by payor source (percent) 27.40% 25.00%  
Payor Source | Accounts Receivable | Medicaid | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues by payor source (percent) 3.70% 3.70%  
Payor Source | Accounts Receivable | Other third-party payors | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues by payor source (percent) 2.60% 2.70%  
Payor Source | Accounts Receivable | Workers’ compensation | Third-Party Payor      
Concentration Risk [Line Items]      
Net operating revenues by payor source (percent) 1.50% 1.20%  
Payor Source | Accounts Receivable | Patients | Self-Pay      
Concentration Risk [Line Items]      
Net operating revenues by payor source (percent) 1.20% 0.90%